Laserfiche WebLink
<br />" ~I,.lltll__.-w-~~ <br /> <br />__'QIIlDJ7-' liV.W" <br /> <br />JOB LOCATION <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE <br /> <br />1Brz~?o92- <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE_X' <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />~. <br />_Repa~r <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~~ of Uni ts <br /> <br />,_M/H <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~UlLDING <br />__ELECTRICAL <br /> <br />PF.RMITS RF.OUESTED <br />22 00 0.,2 Valuation of Total Construction <br /> <br />$ <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />__MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />0"" , <br /> <br />__PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SF.CT~~ J-""~ /1....... , t;; /'1~ -" /;: 1/ <br />Company ~~LPNSY? /~17;v~ <br />State Cert. or Regist. # <br />City License Registration l~ "f-'t-- <br />************************************ <br /> <br /> <br />Si!Znature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4fr <br />City License Registration # <br />****************************************** <br /> <br />PUlMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. lF~ <br />City License Registration # <br />********************************~********* <br /> <br />tlECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />***.'.~**********:{1~************************ <br />'--11 a.HL~ r .a/)A'i~ <br />b.. . <br /> <br />PERMIT OFFICER. <br />